<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html>
<head>
<script type="text/javascript" src="<?=base_url()?>js/jquery.js"></script>
<script type="text/javascript" src="<?=base_url()?>js/runonload.js"></script>
<link href="css/stiliukas.css" media="all" type="text/css" rel="stylesheet"></link>
</head>

<body>
<div id="contact_form">
  <form name="contact" method="post" action="">
    <fieldset>
      <label for="name" id="name_label">Name</label>
      <input type="text" name="name" id="name" size="30" value="" class="text-input" />
      <label class="error" for="name" id="name_error">This field is required.</label>

      <label for="email" id="email_label">Return Email</label>
      <input type="text" name="email" id="email" size="30" value="" class="text-input" />
      <label class="error" for="email" id="email_error">This field is required.</label>

      <label for="phone" id="phone_label">Return Phone</label>
      <input type="text" name="phone" id="phone" size="30" value="" class="text-input" />
      <label class="error" for="phone" id="phone_error">This field is required.</label>

    	<br />
      <input type="submit" name="submit" class="button" id="submit_btn" value="Send" />
    </fieldset>
  </form>
</div>
</body>
</html>
